Christus Spohn Memorial Hospital, Corpus Christi, Texas, USA.
Hamilton Health Sciences, Ontario, Canada.
Emerg Med J. 2017 Sep;34(9):622-624. doi: 10.1136/emermed-2017-207038.2.
A shortcut review was carried out to establish whether serum procalcitonin levels can be used to identify serious bacterial infection in ED patients with undifferentiated SIRS. 14 papers presented the best evidence to answer the clinical question. The review concludes that raised procalcitonin levels are associated with bacteraemia; however, there are no clinical management studies addressing this question in ED patients with SIRS.
进行了快速复习，以确定血清降钙素原水平是否可用于识别急诊科（ED）中未分化全身炎症反应综合征（SIRS）患者的严重细菌感染。14 篇论文提供了最佳证据来回答临床问题。综述得出结论，升高的降钙素原水平与菌血症相关；然而，对于 ED 中 SIRS 患者，没有针对该问题的临床管理研究。
